Individual
GLORIA ROUSSELL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CHRISTIAN LN, SLIDELL, LA 70458-1377
(985) 781-7353
(985) 781-7354
Mailing address
113 CHRISTIAN LN, SLIDELL, LA 70458-1377
(985) 781-7353
(985) 781-7354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201191
LA
Other
Enumeration date
09/12/2018
Last updated
05/22/2019
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